太极拳运动联合体外反搏治疗对慢性心力衰竭患者心功能及生活质量的影响  

Effect of shadowboxing exercise combined with external counterpulsation on cardiac function and quality of life in patients with chronic heart failure

作　　者：王亚辉[1] 赵立峰 赵保礼[1] 甄宇治[1] 常丽静 邢军[1] WANG Yahui;ZHAO Lifeng;ZHAO Baoli;ZHEN Yuzhi;CHANG Lijing;XING Jun(The First Hospital of Hebei Medical University,Shijiazhuang 050031,Hebei,China;Yuhua District Community Service Center of Hebei Provincial Health Planning Commission,Shijiazhuang 050030,Hebei,China)

机构地区：[1]河北医科大学第一医院,河北石家庄050031 [2]河北省卫计委裕华区社区服务中心,河北石家庄050030

出　　处：《现代中西医结合杂志》2019年第35期3901-3904,共4页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：河北省卫计委重点科技研究计划项目(20170509)

摘　　要：目的探讨太极拳运动联合体外反搏治疗对慢性心力衰竭患者心功能及生活质量的影响。方法将75例慢性心力衰竭患者按照随机数字表法分为对照组、太极拳组及联合组,每组25例。对照组患者给予常规药物治疗,太极拳组患者在常规药物治疗基础上由专业治疗师指导进行24式简化太极拳基本拳法锻炼,联合组患者在太极拳组治疗基础上给予增强型体外反搏治疗。观察3组患者治疗前和治疗8周后左室射血分数(LVEF)、6 min步行距离(6-MWT)、脑钠肽(BNP)水平及简明健康状况调查表(SF-36)评分变化。结果治疗8周后,3组患者LVEF、6-MWT均显著增高(P均<0.05),BNP水平均显著降低(P均<0.05);联合组和太极拳组患者治疗8周后的LVEF、6-MWT均显著高于对照组(P均<0.05),BNP水平均显著低于对照组(P均<0.05),且联合组患者各指标变化均显著优于太极拳组(P均<0.05)。治疗8周后,3组患者SF-36各项评分均较治疗前显著升高(P均<0.05),且太极拳组RP评分、GH评分、VT评分、SF评分、MH评分均显著高于对照组(P均<0.05),联合组SF-36各项评分均显著高于太极拳组(P均<0.05)。结论太极拳运动联合体外反搏治疗慢性心力衰竭可明显改善患者心功能和生活质量。Objective It is to investigate the effects of shadowboxing exercise combined with external counterpulsation on cardiac function and quality of life in patients with chronic heart failure.Methods Seventy-five patients with chronic heart failure(CHF)were randomly divided into control group,shadowboxing group and combination group,25 cases in each group.The patients in the control group were treated with conventional medicine,the ones in the shadowboxing group was guided by a professional therapist to perform basic boxing exercise of a simplified 24-style shadowboxing,the ones in the combination group was given an enhanced external counterpulsation therapy based on the shadowboxing group.The changes of left ventricular ejection fraction(LVEF),6-min walking distance(6-MWT),level of brain natriuretic peptide(BNP)and scores of concise health status questionnaire(SF-36)were observed before and after 8 weeks of treatment in the three groups.Results After 8 weeks of treatment,the LVEF,6-MWT were significantly increased while the BNP level was significantly decreased in the three groups(P<0.05).The LVEF and 6-MWT in the combination group and shadowboxing group were significantly higher and the BNP level was significantly lower than those in the control group after 8 weeks of treatment(P<0.05),and the improvement of each index in the combination group was significantly better than those in the shadowboxing group(P<0.05).After 8 weeks of treatment,the SF-36 scores of the three groups were significantly higher than those before treatment(P<0.05),and the RP score,GH score,VT score,SF score and MH score of the shadowboxing group were significantly higher than those of the control group(P<0.05),the scores of each item of SF-36 in the combination group were significantly higher than those in the shadowboxing group(P<0.05).Conclusion Shadowboxing exercise combined with external counterpulsation can significantly improve the heart function and quality of life of patients in the treatment of chronic heart failure.

关 键 词：太极拳 慢性心力衰竭 心功能 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]